SPRING CONFERENCE 2010 Conference Theme: Neurodiversity Booking Form Thursday 29th April 2010 The Copthorne Hotel, Paradise Circus, Birmingham, West Midlands Based on previous NADP one-day conferences the demand for this event is anticipated to be high, and places are strictly limited for logistical reasons, so you are advised to book early. Please delete as appropriate: I am/am not a Member of NADP My membership number is / Title Full name Institution/Organisation Position Address Post code E-mail Tel Fax I wish to book the following: Please indicate which venue you wish to book Member - £165.00 Non-Member - £190.00 (Early-bird £135.00) (Early-bird £160.00) Full one-day package to The early-bird booking rate is available to delegates booking before include refreshment breaks Friday 26th February 2010 and lunch Please note that a cancellation fee is applicable to this booking: For cancellations after the booking deadline - no refund; for cancellations received up to 4 weeks prior to the booking deadline - 50% refund and for cancellations received before this a full refund will apply. There will be no additional charge for sending a substitute delegate. Individual and access requirements I require an accessible parking position Car registration number ……………………………… Please advise us of any individual requirements below: Materials in Braille Large print Disk (please specify) Sign language interpretation SSE BSL (please specify) Please note: SLIs are not booked unless a specific request has been made and, although every effort will be made we cannot guarantee to secure these for a late conference booking Electronic Note-takers Loop system yes no Wheelchair user yes no Special dietary requirement (please specify) ___________________________________________ I will be bringing a Support/Care worker (limited places yes no – no charge) Name of Support Worker ___________________________________________________________ Any other requirements ____________________________________________________________ I enclose a cheque made payable to NADP Ltd or I/my Institution will make a single payment in receipt of an invoice sent to the address on page 1 or to: Please return this form TO ARRIVE NO LATER THAN Friday 16th April 2010 NADP Ltd Moulton Park Business Centre Redhouse Road, Moulton Park Northampton NN3 6AQ Tel/Fax: 01604 497933 E-mail: firstname.lastname@example.org Your application will be acknowledged within 10 days of receipt. If you do not receive confirmation of your place, please contact NADP Ltd on the above telephone number.
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